Client Info Page - The Best Sleepaway Summer Camps and Teen Programs

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Parent's Name

First Last

Parent's Phone

Parent's Email

Parent's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Child's Name

First Last

Date of Birth

What is the current school that your child attends?

Current Grade

What type of camp program or teen travel are you looking for?

Please describe other program you are looking for

Does your child have any allergies, medical concerns or special needs?

No

Yes

Other

Please describe other

Does your child have siblings?

Yes

No

Names & ages of siblings